London Centre for Periodontics and Implant Dentistry

Perio Services

Management of periodontal cases

The mainstay of our treatment of periodontal cases is meticulous root surface debridement with local anaesthesia combined with individualised and focused oral hygiene instruction.

For cases of aggressive periodontitis we would normally recommend a weeks course of adjunctive systemic antibiotics.

Patients have a comprehensive reassessment 6 weeks after the initial therapy.

If further treatment is recommended – either non surgical or surgical this is fully discussed with the patient and the referring dentist.

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We can offer a number of periodontal regeneration techniques in suitable cases.

Long term maintenance

For high risk periodontal patients who have completed initial periodontal therapy, simple, regular effective hygienist maintenance is generally recommended at individually customised time intervals. Other patients may choose a more definitive, surgical approach.

In either case, long term maintenance and monitoring is a pre requisite for successful periodontal management in the long term.

We are happy to arrange this on a “shared care” basis with the referring practitioner or carry this responsibility entirely in house with regular updates sent to you.

Management of patients who smoke

We are committed to providing patients with appropriate smoking cessation advice. Generally we manage contented smokers with thorough subgingival debridement as the initial periodontal therapy followed by regular hygienist maintenance on a three monthly basis. We occasionally carry out simple periodontal surgery in compliant smokers further improve prognosis.

Current smokers who request implants are managed on a case by case basis. At the very minimum we would request that the patient quits completely for 4 weeks before any implant placement surgery and for 4 weeks afterwards.

Hygienist Direct Access

Our hygienist Yana Ariyanayagam is happy to accept direct referrals within the scope of her practice. If she is concerned about anything she sees she will contact you direct. An initial appointment with Yana for a new patient would involve a full oral health assessment, diagnosis, treatment plan and any necessary treatment. Treatment is likely to encompass both supra and subgingival scaling with adjunctive LA if required and stain removal together with focused oral hygiene instruction, along with advice regarding diet and smoking cessation, if indicated.

The Restorative – Perio case

We have a particular interest and experience in aesthetic crown lengthening and gingival grafting to assist you in your restorative treatment.

We are happy to carry out ridge augmentations using various appropriate techniques.

We are also very happy to help plan restorative treatment in periodontal patients with partially/fully terminal dentitions.